How much rates vary
Facilitymedian $251 · 10th to 90th $60 to $407Professionalmedian $74 · 10th to 90th $60 to $437
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier None (both parts) Typical Low $60.26 Median $60.26 Typical High $74.13 | Professional | None (both parts) | $60.26 | $60.26 | $74.13 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $19.50 Median $19.50 Typical High $22.91 | Professional | 26 · Professional part | $19.50 | $19.50 | $22.91 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $39.81 Median $39.81 Typical High $51.29 | Professional | TC · Technical part | $39.81 | $39.81 | $51.29 |
BCBS Arizona Setting Facility Modifier None Typical Low $63.10 Median $269.15 Typical High $407.38 | Facility | None | $63.10 | $269.15 | $407.38 |
BCBS Arizona Setting Professional Modifier None (both parts) Typical Low $46.77 Median $61.66 Typical High $81.28 | Professional | None (both parts) | $46.77 | $61.66 | $81.28 |
BCBS Arizona Setting Professional Modifier 26 · Professional part Typical Low $15.14 Median $19.95 Typical High $26.30 | Professional | 26 · Professional part | $15.14 | $19.95 | $26.30 |
BCBS Arizona Setting Professional Modifier TC · Technical part Typical Low $31.62 Median $41.69 Typical High $54.95 | Professional | TC · Technical part | $31.62 | $41.69 | $54.95 |
Cigna Setting Professional Modifier None (both parts) Typical Low $66.07 Median $75.86 Typical High $102.33 | Professional | None (both parts) | $66.07 | $75.86 | $102.33 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $22.39 Typical High $33.11 | Professional | 26 · Professional part | $21.38 | $22.39 | $33.11 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $46.77 Median $53.70 Typical High $69.18 | Professional | TC · Technical part | $46.77 | $53.70 | $69.18 |
Medica Setting Facility Modifier None Typical Low $60.26 Median $66.07 Typical High $134.90 | Facility | None | $60.26 | $66.07 | $134.90 |
Medica Setting Professional Modifier None (both parts) Typical Low $69.18 Median $97.72 Typical High $436.52 | Professional | None (both parts) | $69.18 | $97.72 | $436.52 |
Medica Setting Professional Modifier 26 · Professional part Typical Low $21.38 Median $30.20 Typical High $141.25 | Professional | 26 · Professional part | $21.38 | $30.20 | $141.25 |
Medica Setting Professional Modifier TC · Technical part Typical Low $47.86 Median $67.61 Typical High $295.12 | Professional | TC · Technical part | $47.86 | $67.61 | $295.12 |
United Setting Professional Modifier None (both parts) Typical Low $66.07 Median $74.13 Typical High $102.33 | Professional | None (both parts) | $66.07 | $74.13 | $102.33 |
United Setting Professional Modifier 26 · Professional part Typical Low $20.89 Median $23.44 Typical High $31.62 | Professional | 26 · Professional part | $20.89 | $23.44 | $31.62 |
United Setting Professional Modifier TC · Technical part Typical Low $45.71 Median $51.29 Typical High $70.79 | Professional | TC · Technical part | $45.71 | $51.29 | $70.79 |
2 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $29.51 Median $29.51 Typical High $35.48 | Professional | 52 · Reduced service | $29.51 | $29.51 | $35.48 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $12.02 Median $12.02 Typical High $14.13 | Professional | 53 · Discontinued | $12.02 | $12.02 | $14.13 |
Where Arizona sits
The same service costs 4.9 times more in Nebraska than in Utah. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Arizona· 32nd of 51
$75.86
NE $155UT $31.62
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.